Provider Demographics
NPI:1861663478
Name:NEAS, ANGELA (MA, ADTR, NCC, LPC)
Entity Type:Individual
Prefix:MISS
First Name:ANGELA
Middle Name:
Last Name:NEAS
Suffix:
Gender:F
Credentials:MA, ADTR, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 ORCHARD WAY
Mailing Address - Street 2:
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-4460
Mailing Address - Country:US
Mailing Address - Phone:267-939-2726
Mailing Address - Fax:
Practice Address - Street 1:1407 BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:FLOURTOWN
Practice Address - State:PA
Practice Address - Zip Code:19031-1904
Practice Address - Country:US
Practice Address - Phone:267-939-2726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-23
Last Update Date:2008-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004796101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional